KATHLEEN LOUISE BLOMBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130996

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LOUISE

Last Name

BLOMBERG

Business Name

KATHLEEN LOUISE BLOMBERG

Original Issue Date

05/31/2000

Effective Date

05/31/2000

Expiration Date

03/31/2001

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005